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Individuals & Families

Individuals and Families / STAR & CHIP / CHIP / Pharmacy & Drugs

CHIP Pharmacy & Drugs

CHIP Pharmacy

FirstCare CHIP members can access prescriptions through any pharmacy that is contracted with the Navitus Health Solutions. Navitus administers prescription benefits for FirstCare CHIP Members.

Find Your Pharmacy

Find a list of in-network pharmacies by using the tool below. Navitus Health Solutions, FirstCare's pharmacy benefits manager, has provided this tool to help you locate the closest and most convenient pharmacy for you. Click below to get started.

The Pharmacy Directory is also available on our website.

Formulary

FirstCare uses the state mandated CHIP formulary. The formulary is available on the Texas Medicaid Drug Vendor Drug Program website.

Click here to download the PDF of the Texas CHIP Formulary.

The Texas CHIP Formulary is available in paper form without charge. To request a copy, please call FirstCare CHIP Customer Service at 1-877-639-2447.

Prior Authorizations

To obtain a prior authorization, providers should call Navitus at 1-877-908-6023. To access drug specific prior authorization forms, please visit the Navitus website.

Download the State of Texas Standard Prior Authorization Form.

Pharmacy Provider Manual

To obtain a copy of the Pharmacy Provider Manual, please visit the Navitus website and go to the provider section.

For pharmacy questions, contact Customer Service at 1-877-639-2447.

Pharmacy Maximum Allowable Cost (MAC) List

To obtain a copy of the MAC List, network pharmacies may visit the Navitus pharmacies website and go to the MAC Program link: https://pharmacies.navitus.com

Authorization Information

Click here to access authorization information.

Access a Doctor, 24/7/365

FirstCare Virtual Care—powered by MDLIVE let’s you connect with a doctor from wherever you are. Find out more here.

Need Help?
Contact Us!

Call FirstCare CHIP Customer Service at 1-877-639-2447.

We're open Monday through Friday, from 8 a.m. to 5 p.m., excluding state approved holidays. If you call after hours, please leave us a message. We return all calls the next business day.

Our Customer Service Representatives speak both English and Spanish. If you speak another language, we can connect you with an interpreter. You can get information in larger print, audio (CD), braille, or in any other language format, if needed. For help, call FirstCare CHIP Customer Service at 1-877-639-2447.

Members with hearing loss can call the Relay Texas number 7-1-1. Relay Texas is a free telephone interpreting service to help people with hearing or speech disabilities.

Resources

CHIP Service Area CHIP Member News

Talk to a Nurse—Nurse24™

Need care advice? Should you see a doctor? FirstCare members can talk to a nurse by calling 1-855-828-1013. Get answers 24 hours a day, 7 days a week! Information is available in English and Spanish. Interpreter services available upon request. TTY users can call 7-1-1 or 1-800-955-8771. Voice communication is available at 1-800-955-8770.

Utilization Management

Ever wonder how we decide to authorize services? Our decisions are based on medical evidence and consensus of health care professionals. For more details, click here.

Helpful Links and Phone Numbers

CHIPInformation and Referral:
2-1-1 or 1-877-541-7905
Enrollment Helpline: 1-800-964-2777
TTY: 1-800-735-2989
MCNA Dental (CHIP)Medicaid & CHIP dental plan for Texas
1-855-691-6262
TTY: 1-800-955-8771
DentaQuest (CHIP)Medicaid & CHIP dental plan for Texas
1-800-508-6775
TTY: 1-800-855-2880
Navitus Health SolutionsFirstCare’s Pharmacy Benefit Manager
1-877-908-6023
TTY: 7-1-1
OCCC Financial Literacy Information1-800-538-1579